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Precertification Jobs in Illinois (NOW HIRING)

UnityPoint Health

Patient Access Team Lead

Rock Island, IL · On-site

$17 - $23.81/hr

Ensures accurate registration and verification of patient information in the Electronic Medical Record (EMR) system, including precertification requirements, and collaborates with the Central Billing ...

silvercross

Admissions/PPS Coordinator

New Lenox, IL · On-site

$35 - $42.50/hr

Primary role and function is managing patient access to the acute inpatient rehabilitation unit by performing prescreening and precertification of potential patient admissions. Key to this role is ...

Summit BHC

Intake Clinician Full-Time - Acute

Belvidere, IL · On-site

$58K - $80K/yr

Follows EMTALA regulations to complete insurance verification and precertification's, when appropriate. * Responds to inquiries about the facility within facility policy timeframes. * Schedules ...

Synapse Health

Specialist, Qualifications

Skokie, IL · On-site

Coordinate and process precertification and recertification requirements for Durable Medical Equipment (DME). * Apply payer and insurance provider guidelines to determine documentation requirements ...

Summit BHC

Intake Clinician-Nights

Champaign, IL · On-site

$28 - $34/hr

Follows EMTALA regulations to complete insurance verification and precertification's, when appropriate. * Responds to inquiries about the facility within facility policy timeframes. * Schedules ...

Summit BHC

Intake RN-PRN

Champaign, IL · On-site

$45 - $50/hr

Follows EMTALA regulations to complete insurance verification and precertification's, when appropriate. * Responds to inquiries about the facility within facility policy timeframes. * Schedules ...

Synapse Health

Specialist, Qualifications

Skokie, IL · On-site

Coordinate and process precertification and recertification requirements for Durable Medical Equipment (DME). * Apply payer and insurance provider guidelines to determine documentation requirements ...

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All JobsPrecertification JobsPrecertification Jobs in Illinois

Precertification information

See Illinois salary details

$5

$18

$29

How much do precertification jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for precertification in Illinois is $18.34, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $26.54 per hour, depending on experience, location, and employer.

What is a precertification specialist?

Precertification jobs involve reviewing and approving medical procedures, treatments, or hospital admissions before they occur to ensure they meet insurance or regulatory requirements. Professionals in these roles typically evaluate patient information, communicate with healthcare providers, and coordinate with insurance companies to determine if services will be covered. This process helps control healthcare costs and ensures that patients receive appropriate care according to established guidelines. Precertification specialists often work in hospitals, insurance companies, or healthcare administration settings.

What skills and qualifications are needed to thrive as a precertification specialist?

Success as a precertification specialist requires knowledge of medical terminology, insurance verification, and healthcare regulations, often supported by a background in healthcare administration or certification such as Certified Medical Administrative Assistant (CMAA). Familiarity with insurance portals, electronic health record (EHR) systems, and payer-specific software is typically necessary. Attention to detail, strong organizational skills, and effective communication are vital soft skills that help in coordinating between providers, patients, and insurers. These abilities ensure accurate and timely approval of medical procedures, reducing delays in patient care and minimizing claim denials.

What are common challenges faced by precertification specialists, and how can they be addressed?

Precertification Specialists often face challenges such as staying up-to-date with constantly changing insurance guidelines, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To address these, it is important to maintain strong organizational skills, leverage available technology for tracking authorizations, and participate in ongoing training to remain current on payer requirements. Building good relationships with team members and regularly sharing updates can also help streamline processes and minimize delays.

What is the difference between Precertification vs Medical Coder?

AspectPrecertificationMedical Coder
Required credentialsCertification may be preferred; knowledge of insurance policiesCertification (e.g., CPC, CCS) often required
Work environmentHealthcare facilities, insurance companies, outpatient clinicsHospitals, clinics, insurance companies, remote work
Employer usageUsed to approve procedures before serviceUsed to assign codes for billing and documentation
Common search intentPrecertification vs Medical Coder

Precertification involves obtaining approval from insurance companies before procedures, focusing on insurance policies and patient eligibility. Medical coders assign standardized codes to medical records for billing, emphasizing coding accuracy and documentation. While both roles are integral to healthcare billing, precertification is about approval processes, whereas medical coding centers on documentation and coding accuracy.

What are the most commonly searched types of Precertification jobs in Illinois?

The most popular types of Precertification jobs in Illinois are:

What are popular job titles related to Precertification jobs in Illinois?

For Precertification jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Precertification jobs in Illinois look for?

The top searched job categories for Precertification jobs in Illinois are:

Precertification jobs near you
Infographic showing various Precertification job openings in Illinois as of August 2026, with employment types broken down into 5% As Needed, 82% Full Time, 12% Part Time, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $38,149 per year, or $18.3 per hour.

Admissions/PPS Coordinator

Silver Cross Hospital

New Lenox, IL • On-site

$35 - $42.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Silver Cross Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

550th of 1,061 rated hospitals

Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve...and for each other. Come join us! It's the way you want to be treated.
Position Summary: Primary role and function is managing patient access to the acute inpatient rehabilitation unit by performing prescreening and precertification of potential patient admissions. Key to this role is establishing relationships with referral sources, both internal and external, and participating in referral development activities. Adhering to unit-based admission criteria and Medicare regulations for appropriate selection, recommendation, and communication to the admitting physician. Managing the referral log with appropriate prioritization and communication of patient readiness to all stakeholders. Responsible for referral and admission data tracking and reporting by entering into eRehab. Coordinate, analyze, validate and enter the demographic, functional, and quality data necessary to process and submit the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI); work with program leadership on quality of care initiatives and programs; provide back-up leadership as requested. Participate in unit-based meetings and functions; accept lead roles as requested.
Essential Duties and Responsibilities:
  • Review pertinent medical records of patients referred to the rehabilitation unit from internal and external sources
  • Assess (initially and ongoing) patient appropriateness for acute inpatient rehabilitation in collaboration with the rehab team
  • Initiate insurance authorizations and provide updated information to third party carriers as needed
  • Gather and collate daily functional improvement data from the direct care staff
  • Assess if data is complete and valid and interact with staff regarding questions, concerns and educational opportunities
  • Assist with assigning admission impairment groups as needed
  • Track assessment, completion, encoding and transmission dates for all discharges
  • Transmit data for submission to eRehab and CMS
  • Maintain referral/admission data
  • Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits
  • Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct

Required Qualifications:
Education and Training:
  • Currently licensed as a Registered Nurse in the state of Illinois with inpatient rehabilitation experience preferred or a licensed occupational, physical or speech therapist with inpatient rehabilitation experience.

Work Shift Details:
Days, Monday through Friday 8 am to 4:30 pm.
Department:
I/P REHAB UNIT
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
• Medical, Dental and Vision plans
• Life Insurance
• Flexible Spending Account
• Other voluntary benefit plans
• PTO and Sick time
• 401(k) plan with a match
• Wellness program
• Tuition Reimbursement
Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match. However,registry employees are ineligible for Health and Welfare benefits.
The expected pay for this position is listed below:
$35.00 - $42.50
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.

What Silver Cross Hospital employees say

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About Silver Cross Hospital

Sourced by ZipRecruiter

At Silver Cross, we pride ourselves on delivering unrivaled care to every patient, every time. As a result, our focus on safety, quality and patient experience has earned us numerous national awards over the years. As the needs of our community have grown, so has Silver Cross—in both size and stature. Our many healthcare services rapidly expanded, evolved and increased in complexity. To serve you and your loved ones even better than before, we've proudly partnered with many of Chicago's leading academic medical centers, bringing extraordinarily advanced care close to home.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New Lenox, IL, US

Year founded

1895

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